Individual
STEVEN PAUL BAKKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
410 CHURCH ST SE, MINNEAPOLIS, MN 55455-0222
(612) 624-9998
(612) 625-0539
Mailing address
410 CHURCH ST SE, MINNEAPOLIS, MN 55455-0222
(612) 624-9998
(612) 625-0539
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5621015
WI
122300000X
Dentist
Primary
D11822
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
326367300
MEDICAL ASSISTANCE
MN
Enumeration date
09/07/2006
Last updated
01/02/2025
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